44D2229924 CLIA NUMBER - WELLCARE PHARMACY LLC

Laboratory Demographics

CLIA Number: 44D2229924

Facility Name: WELLCARE PHARMACY LLC

Facility Address:
2445 MEMORIAL BLVD, SUITE E
MURFREESBORO, TN
ZIP 37129
Get Directions

Facility Phone Number: 615 410-3499

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487235768

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	44D2229924
LAB Type	Pharmacy
Facility Name	WELLCARE PHARMACY LLC
Street	2445 MEMORIAL BLVD, SUITE E
City	MURFREESBORO
State	TN
ZIP	37129
Phone	615 410-3499
CertificateType	4
CertificateEffectiveDate	7/19/2023
CertificateExpirationDate	7/18/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024